Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Facility		$4.51	$4.51	$4.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.51 / $8.03	Professional		$3.75	$4.51	$8.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $46.56 / $93.23	Facility		$21.76	$46.56	$93.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.04 / $6.04	Professional		$5.34	$6.04	$6.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $8.86	Facility		$4.84	$4.84	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.84 / $9.38	Professional		$4.12	$4.84	$9.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $12.58 / $16.30	Professional		$8.05	$12.58	$16.30
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.27 / $12.08	Professional		$10.06	$11.27	$12.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.01 / $6.90	Professional		$2.85	$4.01	$6.90